Dentalwise, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTALWISE, LLC

Practice address

2635 Lee Rd Ste C4
Lithia Springs, GA 30122-3356

Phone

(770) 489-9141

Fax

(770) 489-9138

NPI assigned

Apr 8, 2014

Last updated

Apr 8, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Randall LittleNPI 1285770693

Title

Owner

Phone

(770) 853-9244

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Patrick Little, DMD

  • General Practice Dentistry
  • Fairburn, GA
  • NPI 1285770693
  Authorized official Same address or phone
• Kiristi Norman, DDS

  • General Practice Dentistry
  • Lithia Springs, GA
  • NPI 1356425821
  NPD (past)
• Jeanette M. Young, D.D.S.

  • Dentist
  • Lithia Springs, GA
  • NPI 1396074589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1316366271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 LEE RD STE C4",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223356",
            "telephone_number": "770-489-9141",
            "fax_number": "770-489-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 LEE RD STE C4",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223356",
            "telephone_number": "770-489-9141",
            "fax_number": "770-489-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALWISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-853-9244",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141558A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claude Pippo Daniel Jr., DDS
• Margaret Kay Davis, CPNP
• Johnny Earl Dawson
• DB Reliable Enterprises
• Dca Diagnostics, LLC
• Terry Dickerson, RN
• Divine Health and Wellness
• Divinerestorationhelthcare@Yahoo.Com
• Valissa Ann Dixon, LPC
• Dolphin Gold Care Services LLC

• Dentist in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.